Active NPIIndividual providerSole proprietor

Dr. Kathryn Berk, PHD

Psychologist, Clinical in Madison, Connecticut

NPI Number1639267016
Practice location
91 E Wharf RD, Madison, CT 06443-3132
Fax
—
Last updated
March 8, 2022

Kathryn Berk is a Psychologist, Clinical based in Madison, CT. Kathryn Berk practices in Madison, CT and has the professional credentials of PHD. The NPI Number for Kathryn Berk is 1639267016 and holds a License No. 675 (VT). The current practice location address for Kathryn Berk is 91 E Wharf RD, Madison, CT 06443-3132 and can be reached out via phone at 203-823-0068.

Provider Profile Details

NPI Number
1639267016
Provider Name
Kathryn Berk
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
91 E Wharf RD, Madison, CT 06443-3132
Phone Number
203-823-0068
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 10, 2006
Last Update Date
March 8, 2022
Certification Date
March 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
91 E Wharf RD
Madison, CT 06443-3132
Zip
06443-3132
Phone Number
203-823-0068
Madison, CT 06443Get directions →

Provider Business Mailing Address Details

Address
91 E Wharf RD
Madison, CT 06443-3132
City
Madison
State
CT
Zip
06443-3132
Phone Number
203-823-0068

License Information

License Number (1)
675
License State (1)
VT
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
003632
License State (2)
CT
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kathryn Berk, PHD?

The NPI number of Dr. Kathryn Berk, PHD is 1639267016. It was assigned on October 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kathryn Berk, PHD?

Dr. Kathryn Berk, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 675.

Where does Dr. Kathryn Berk, PHD practice?

The practice location is 91 E Wharf RD, Madison, CT 06443-3132. The office can be reached at 203-823-0068 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639267016 directly on the NPPES registry website.

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